Kousoulis Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KOUSOULIS CHIROPRACTIC PROFESSIONAL CORPORATION

Practice address

1062 Westwood Blvd
Los Angeles, CA 90024-2903

Phone

(310) 208-0101

Fax

(323) 512-5228

NPI assigned

Jun 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Kousoulis, DCNPI 1003019373

Title

Owner

Phone

(310) 208-0101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas D. Kousoulis, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1003019373
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1134414469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 WESTWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242903",
            "telephone_number": "310-208-0101",
            "fax_number": "323-512-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 WESTWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242903",
            "telephone_number": "310-208-0101",
            "fax_number": "323-512-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUSOULIS CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "KOUSOULIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-208-0101",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourosh Michael Beral DDS Inc
• Kourosh Yousefzadeh DDS
• Matthew Norman Koury, M.D.
• Christina Savalas Kousakis, MFT
• Houry Koushakjian, D.D.S
• Nicholas D. Kousoulis, D.C.
• Dino Koutsolioutsos
• Jacques Jacques Kouyoumdjian, DDS
• Shaghig Kouyoumjian, M.D.
• Jaclynn Kovach

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.